<div class="callme [(#ENV{config}|table_valeur{ajax}|=={1}|?{ajax})]">
	<h3>Позвоните мне</h3>
	<form action="#ENV{action}" method="post" class="form_#FORM [(#ENV{config}|table_valeur{google_analytics}|=={1}|?{google-analytics-form})]" enctype="multipart/form-data">
		<fieldset>
			[<div class="erreur">(#ENV*{message_erreur})</div>]
            [<div class="message-ok">(#ENV**{message_ok})</div>]
            #ACTION_FORMULAIRE{#ENV{action}}
			<table>
				<tbody>
                    <tr>
						<td>
							<label for="phone"><:formulaire_callme:phone:></label>
							<input type="text" id="phone" name="phone" value="#ENV{phone}" />
                            [<span class='erreur'>(#ENV**{erreurs}|table_valeur{phone})</span>]
						</td>
					</tr>
					<tr>
						<td>
							<label for="name"><:formulaire_callme:name:></label>
							<input type="text" id="name" name="name" value="#ENV{name}" />
                            [<span class='erreur'>(#ENV**{erreurs}|table_valeur{name})</span>]
						</td>
					</tr>					
					<tr>
						<td>
							<label for="time"><:formulaire_callme:time:></label>
							<input type="text" id="time" name="time" value="#ENV{time}" />
                            [<span class='erreur'>(#ENV**{erreurs}|table_valeur{time})</span>]
						</td>
					</tr>
                    <tr>
                        <td>
                            [(#REM)Insert upload files block]
                            <INCLURE{fond=inc/feedback_files_upload}{env}>
                        </td>
                    </tr>
                    <tr>
                        <td>
                            [(#REM)Insert captcha block]
                            <INCLURE{fond=inc/feedback_captcha}{env}>
                        </td>
                    </tr>
					<tr>
						<td><input type="submit" value="<:formulaire_callme:send:>" class="submit" /></td>
						<td></td>
					</tr>
				</tbody>
			</table>
		</fieldset>
	</form>
</div>